Provider Demographics
NPI:1417321795
Name:NEW LIFE ACUPUNCTURE, INC
Entity Type:Organization
Organization Name:NEW LIFE ACUPUNCTURE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, OMD
Authorized Official - Phone:240-723-2957
Mailing Address - Street 1:849 QUINCE ORCHARD BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1678
Mailing Address - Country:US
Mailing Address - Phone:240-778-0755
Mailing Address - Fax:
Practice Address - Street 1:849 QUINCE ORCHARD BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1678
Practice Address - Country:US
Practice Address - Phone:240-723-2657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-24
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01778171100000X
VA0121000627171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty